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Home My WebLink AboutZ-9185FORK NQ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z9185 .... Date .. Asst ..23 ............... 19.78 THIS CERTIFIES that the building located at .645 Hickory Road Street Map No ............. Block No........... Lot No............ . REQUIRE14ENTS FOR ONE FAMILY DWELLING BUILT PRIOR conforms substantially to the CERTIFICATE OF OCCUPANCY dated ... April.... 23....... , 19.57. pursuant to which No. ?91k35.. dated ... August ..23........, 19.78., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ......Private. One. Family. Dwelling .................................. The certificate is issued to ....... Joseph. W....Hydell.. $c . tai:. ....................... . ( owner, NO lK of the aforesaid building. Suffolk County Department of Health Approval ......... Pre—Existing .....isti .............. UNDERWRITERS CERTIFICATE No. Pre—Existing .................................... ....... 645 Hickory Road HOUSE NUMBER .............. Street ...... ......... ........ . Southold, New ork .............................................. ............... ................. FORM Na 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey -of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3 Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ......? �?g ? t.. l$t.ji Z ........... New Building ................ Addition ................ Old or Pre-existing Building .... X.......... Vacant Land .............. Location Of Property ...... S„(W„side, of,HickorX„Road,,,,Southo.1d.,,,New York ...... Owner Or Owners Of Property .............JRS€P1#..Nlr...&..�nemae„Hydell. // Subdivision................................................................Lot No............. Block No............. House No ... 6�4 Permit No ..................... Date Of Permit ....................Applicant.................................................................. Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ....... X................................. Fee Submitted $ .5..i211 ........................... Construction on above described building and per t e all 1i5i&le cSoes and regulations. Applicant ............ . .. ....... ..... Willia ick m g? Sworn to before me this T,- I 12tl ,.... day of ...August r...1. 178 ................. (stomp or seal) ! Otary PU l ........... Zuff l........... County fit.. � JOAN HIND[RMANN "WAsY PUSLIC, Stoto of Now YoO t N d t�Ri:i ifPii itiil'* No, 52-6905650 J Bill #tis9A99” ! � '�� f�'l,(,f�_-_---•�'"" judifieJ in Suffolk County Term Etpires March 30. 19.E G a t as ,r AriA v i ?OPER•TY N42 IS`40 "E. 130.0 SURVEYED F4 - _ ¢ I _ n { z YK=sctiYNl }^ dwaq :� I JoSE�'H �V ANNEMA iE -� DELL I Z t ptvL ara •� 0 , •t (� t'•�.. 3''� ro ! i _ AT ED ALTERATION JNAUTHORIZ Sour+/� _ CADD OLD TO THIS SURVEY ISA VIOLAi:ON OF rAVL T S I p - SECTION 7709 OF THE NEW YORK $T [�/ SVtrFOLK; CO: NI�W YOQ1L EDUCATION LAW, t L �QUd� •`•' COPIES OF THIS SURVEY MAP NOT BE THE LA\D SU:.V:YOR•S D SEAL 1 p {EgLg EMBOSSED SEAL 01 SHALL NOT BL CONSI W.0 - TO BE A VALID Tf U`• CCPV. �r t 2tr 0 SCALE • �rQ•� lw GUARANTEES 3(t:C;CAi:D F:EREON SHAT s. D ONLY TO iHi IJ FCR •irr:0M TH O t o { t (. �• i'! �•� t6>[ V �' 15 PREFARED, AND O;v H.5 Cn;ALF TO TITLE riN tTn f 5.'TZ•1 �C�(�,OMW ISO O•. - LENDING GOV:INMENIAL AGE • _ . ,_. G INSTITUTION L'STEC HIREON, ' T L TO THE ASS!GNSES OF THE LENDING It d - TUTION. GUARANTEES ARE NOT IRAN! 1 e r ` iti TO ADDITIONAL INSTITUTIONS OR SUI t n �a� rJ �o i } A OWNERS. Cudeartfd J 'b the Arad, ak TMP � - 5 0, - z ,,: > ,•- z � lE�ura►�re Ga as �LswlaF�! �e(►F.ZtF I�iib - �� tZ00CRJC:< VAN MYL:, F. C.' a = Monu>nent , ` f y LiccKsed ` Cand_.' Surveyors ,.... 1 3reeapor,. N.Y: L4�. ��._�_ _ _ J •. .�� fl.:.. ,�< �.:.• •� 'I ,III I • Housing Code Inspection August 23, 1978 645 Hickory Road R-1 Southold, N.Y. Tax Roll: Joseph W. Hydell & wf. occupied: Owner Upon receipt of an application for a Pre -Existing Certificate of Occupancy I made an inspection of the buildings on the above captioned premises. I was admitted to dwelling by Mr. Hydell who accompanied me during this inspection that began at approximately 1:40 P.M. The building is a one story wood frame structure constructed on a cement block foundation. The ground floor contains a living room, two bedrooms, full bathroom, kitchen with eat in area and a sun room on rear of dwelling. Heat is furnished to all rooms from an oil fired hotwater furnace located in full cellar. Domestic hotwater is furnished to ,all plumbing fixtures within the building Accessory structures include a storage shed of wood frame con- struction located in the southwest corner of the rear yard and an unattached deck on the southwest corner of the building within the rear yard area. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, New York were found: Entries to living room and sun room - no means of controlling fight at point of entry. tic e V, Section 52-56 B 2. Inspection was completed at approximately 2:00 P.;K. tly' submitted, EDWARD HINDERMANN Building Inspector